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Stephen Slack

NPI 1386141539 · on the registry since 2018 · sole proprietor

Practice

Address
458 W 61st St
Shreveport, LA 71106
Phone
(318) 510-1141

Registry record

Primary taxonomy
171W00000X
171W00000X
Sex
Male
Record last updated
2018-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana